皮肤诺卡菌病在巨细胞动脉炎患者中表现为额部肿块。

Cutaneous nocardiosis manifesting as a frontal mass in a patient with giant cell arteritis.

作者信息

Briciu Violeta Tincuta, Flonta Mirela, Lupse Mihaela, Damian Laura

机构信息

Infectious Diseases Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Clinical Laboratory, Clinical Hospital of Infectious Diseases, Cluj-Napoca, Romania.

出版信息

Clujul Med. 2017;90(2):231-234. doi: 10.15386/cjmed-726. Epub 2017 Apr 25.

DOI:10.15386/cjmed-726

PMID:28559710

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5433578/

Abstract

We report the case of a subcutaneous abscess due to Nocardia spp. mimicking a spontaneous hematoma or an aneurysm of the temporal artery branch, in a giant cell arteritis patient treated with methylprednisolone and azathioprine. Ultrasonography, incision and drainage with cultures helped in the diagnosis. This case highlights the importance of considering rare pathogens in immunosuppressed patients, besides the more frequent disease complications.

摘要

我们报告了一例诺卡菌属引起的皮下脓肿病例，该病例发生在一名接受甲泼尼龙和硫唑嘌呤治疗的巨细胞动脉炎患者身上，脓肿酷似颞动脉分支的自发性血肿或动脉瘤。超声检查、切开引流及培养有助于诊断。该病例强调了在免疫抑制患者中除了考虑更常见的疾病并发症外，还需考虑罕见病原体的重要性。